男子确诊癌症晚期，已无法手术，44岁弟弟陪诊后主动检查，也确诊癌症，术后一周便出院；医生：这类人尽早筛查
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近日，浙江省台州市中心医院发布一则病例，台州的郑先生陪癌症晚期的哥哥去医院化疗，最后意外查出了自己身上的肠癌。
A 44-yea r-old man in Zhejiang province was diagnosed with rectal cancer after undergoing screening while accompanying his older broth er, who had advanced bowel cancer, to chemotherapy.
两兄弟同患癌症，但因为发现时间的区别，结果也截然不同。
陪哥哥看病 自己也查出直肠癌
郑先生的哥哥被确诊为肠癌时，病情已经到了晚期，还出现了肝转移，失去了手术机会，只能通过化疗控制病情。那段时间，郑先生经常陪哥哥往返台州市中心医院，看化疗的辛苦，也看疾病对一个家庭的冲击。
接诊医生曾提醒过他： 直系亲属确诊为肠癌，其他家庭成员也属于高危人群，一定要重视肠癌筛查。
一开始，郑先生并没太当回事。自己才44岁，能吃能睡，身体也没有明显不舒服，癌症似乎离自己很远。但随着陪诊次数增多，亲眼看到哥哥治疗的煎熬，他心里的顾虑越来越重。
The man's brother had developed liver metastases and was no longer eligible for surgery. Doctors warned Zheng that having a first-degree relative with bowel cancer increased his own risk, but he initially paid little attention to the advice because he had no obvious symptoms.
为了让自己安心，郑先生找到台州市中心医院胃肠外科主任医师梁建华，预约了胃肠镜检查。
就是这次筛查，让他躲过了“等到症状明显才就医”的风险。
肠镜下，医生发现郑先生肠道内有多枚息肉，直肠里还有一枚肿物，已经占据了约四分之三的肠腔，高度怀疑恶性病变。随后的病理活检，确诊为直肠癌。
After witnessing his brother's treatment, Zheng decided to undergo a colonoscopy at Taizhou Central Hospital. Doctors found multiple intestinal polyps and a rectal tumor occupying about three-quarters of the intestinal lumen. A biopsy confirmed it was cancerous.
发现及时，立即手术 一周后顺利出院
万幸的是，由于发现及时，肿瘤尚未转移。郑先生随即接受腹腔镜直肠癌根治手术，术后恢复情况良好，大约一周便顺利出院。
Fortunately, the tumor had not spread. Zheng underwent laparoscopic surgery and was discharged about a week later after recovering well.
一对兄弟双双查出肠癌，最终的结果却天差地别：哥哥确诊时已是晚期，失去手术机会，治疗难度高，恢复效果不理想；弟弟主动参与筛查，做到早发现早治疗，顺利完成手术。
梁建华医生称，兄弟二人治疗结果的差别，核心在于确诊时间。
Liang Jianhua, a chief physician in the hospital's gastrointestinal surgery department, said the brothers' contrasting outcomes highlighted the importance of early detection.
不少人认为身体没有不适，就不需要做检查，而这正是肠癌容易悄悄侵害人体的原因。
早期胃癌、肠癌大多没有典型症状，常常被误当作普通胃病、痔疮或是肠胃不舒服而被忽视。 低位直肠癌会出现便血，容易和痔疮混淆；高位肠道肿瘤出血量很少，肉眼难以察觉，很多人等到浑身乏力、贫血才前往就医。一旦出现腹痛、肠梗阻等明显不适，肿瘤大多已经发展到中晚期，错失了最佳治疗时机。
肠腔内的巨大癌肿
肠癌并非突然发病 。绝大多数肠癌是肠道息肉历经数年乃至更久慢慢癌变形成，这个阶段就是宝贵的防癌窗口期。 借助胃肠镜，医生能够直接查看消化道，检出细小息肉，及时处理癌前病变。
Early-stage bowel cancer often causes no obvious symptoms, while signs such as rectal bleeding may be mistaken for hemorrhoids. Most bowel cancers develop gradually from intestinal polyps, making screening an important opportunity for early intervention.
梁建华给出建议： 普通人群可在50岁前后开展肠癌筛查 ；有家族史的高危人群，也就是父母、兄弟姐妹、子女这类 一级亲属患有肠癌或腺瘤性息肉的，建议40岁左右完成第一次胃肠镜检查，也可参照家族里最早发病亲属的确诊年龄，提前十年筛查 。
Liang recommended that people with an average-level risk of bowel cancer begin screening around age 50. Those with a first-degree relative diagnosed with bowel cancer or adenomatous polyps should consider their first gastrointestinal endoscopy at around 40 or 10 years before the age at which their youngest affected relative was diagnosed.
重视家族史，是因为部分肠癌带有遗传易感基因；加上一家人长期共同生活，饮食、作息习惯相近，同样会提升患病概率。
肠癌属于为数不多可依靠筛查做到早发现、早预防的恶性肿瘤。不要等到腹痛、便血、消瘦等明显症状出现才去就诊。主动关注健康，做好防癌筛查，不要把早期检查拖延成晚期治疗。
来源： 南方都市报 台州市中心医院
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A 44-yea r-old man in Zhejiang province was diagnosed with rectal cancer after undergoing screening while accompanying his older broth er, who had advanced bowel cancer, to chemotherapy.
两兄弟同患癌症，但因为发现时间的区别，结果也截然不同。
陪哥哥看病 自己也查出直肠癌
郑先生的哥哥被确诊为肠癌时，病情已经到了晚期，还出现了肝转移，失去了手术机会，只能通过化疗控制病情。那段时间，郑先生经常陪哥哥往返台州市中心医院，看化疗的辛苦，也看疾病对一个家庭的冲击。
接诊医生曾提醒过他： 直系亲属确诊为肠癌，其他家庭成员也属于高危人群，一定要重视肠癌筛查。
一开始，郑先生并没太当回事。自己才44岁，能吃能睡，身体也没有明显不舒服，癌症似乎离自己很远。但随着陪诊次数增多，亲眼看到哥哥治疗的煎熬，他心里的顾虑越来越重。
The man's brother had developed liver metastases and was no longer eligible for surgery. Doctors warned Zheng that having a first-degree relative with bowel cancer increased his own risk, but he initially paid little attention to the advice because he had no obvious symptoms.
为了让自己安心，郑先生找到台州市中心医院胃肠外科主任医师梁建华，预约了胃肠镜检查。
就是这次筛查，让他躲过了“等到症状明显才就医”的风险。
肠镜下，医生发现郑先生肠道内有多枚息肉，直肠里还有一枚肿物，已经占据了约四分之三的肠腔，高度怀疑恶性病变。随后的病理活检，确诊为直肠癌。
After witnessing his brother's treatment, Zheng decided to undergo a colonoscopy at Taizhou Central Hospital. Doctors found multiple intestinal polyps and a rectal tumor occupying about three-quarters of the intestinal lumen. A biopsy confirmed it was cancerous.
发现及时，立即手术 一周后顺利出院
万幸的是，由于发现及时，肿瘤尚未转移。郑先生随即接受腹腔镜直肠癌根治手术，术后恢复情况良好，大约一周便顺利出院。
Fortunately, the tumor had not spread. Zheng underwent laparoscopic surgery and was discharged about a week later after recovering well.
一对兄弟双双查出肠癌，最终的结果却天差地别：哥哥确诊时已是晚期，失去手术机会，治疗难度高，恢复效果不理想；弟弟主动参与筛查，做到早发现早治疗，顺利完成手术。
梁建华医生称，兄弟二人治疗结果的差别，核心在于确诊时间。
Liang Jianhua, a chief physician in the hospital's gastrointestinal surgery department, said the brothers' contrasting outcomes highlighted the importance of early detection.
不少人认为身体没有不适，就不需要做检查，而这正是肠癌容易悄悄侵害人体的原因。
早期胃癌、肠癌大多没有典型症状，常常被误当作普通胃病、痔疮或是肠胃不舒服而被忽视。 低位直肠癌会出现便血，容易和痔疮混淆；高位肠道肿瘤出血量很少，肉眼难以察觉，很多人等到浑身乏力、贫血才前往就医。一旦出现腹痛、肠梗阻等明显不适，肿瘤大多已经发展到中晚期，错失了最佳治疗时机。
肠癌并非突然发病 。绝大多数肠癌是肠道息肉历经数年乃至更久慢慢癌变形成，这个阶段就是宝贵的防癌窗口期。 借助胃肠镜，医生能够直接查看消化道，检出细小息肉，及时处理癌前病变。
Early-stage bowel cancer often causes no obvious symptoms, while signs such as rectal bleeding may be mistaken for hemorrhoids. Most bowel cancers develop gradually from intestinal polyps, making screening an important opportunity for early intervention.
梁建华给出建议： 普通人群可在50岁前后开展肠癌筛查 ；有家族史的高危人群，也就是父母、兄弟姐妹、子女这类 一级亲属患有肠癌或腺瘤性息肉的，建议40岁左右完成第一次胃肠镜检查，也可参照家族里最早发病亲属的确诊年龄，提前十年筛查 。
Liang recommended that people with an average-level risk of bowel cancer begin screening around age 50. Those with a first-degree relative diagnosed with bowel cancer or adenomatous polyps should consider their first gastrointestinal endoscopy at around 40 or 10 years before the age at which their youngest affected relative was diagnosed.
重视家族史，是因为部分肠癌带有遗传易感基因；加上一家人长期共同生活，饮食、作息习惯相近，同样会提升患病概率。
肠癌属于为数不多可依靠筛查做到早发现、早预防的恶性肿瘤。不要等到腹痛、便血、消瘦等明显症状出现才去就诊。主动关注健康，做好防癌筛查，不要把早期检查拖延成晚期治疗。
来源： 南方都市报 台州市中心医院
跟着China Daily 精读英语新闻 “无痛 ” 学英语，每天20分钟就够！ ↓↓↓
推 荐 阅 读